Individual provider Active NPI

Perris Joseph Monrow

  • Counseling Psychologist
  • Alton, IL
National Provider Identifier
1730312570
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2008022215 Issued in MO
Practice address
711 Riverview Dr
Alton, IL 62002-6025
Phone
(618) 363-6033
Fax
(618) 462-6410
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2008022215 MO Primary

Addresses

Primary practice location

711 Riverview Dr
Alton, IL 62002-6025

Mailing address

11222 Tesson Ferry Rd Ste 200
Saint Louis, MO 63123-6963
Phone (618) 363-6033

Other names 1

  • Dr. Perris Joseph Monrow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2008022215MOMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In Your Prime Counseling LLC Past Accepting new patients
Psychologists & Educators, Inc. Past Accepting new patients
Barbara C Burton Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1730312570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 TESSON FERRY RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236963",
            "telephone_number": "618-363-6033",
            "fax_number": "618-462-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIVERVIEW DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026025",
            "telephone_number": "618-363-6033",
            "fax_number": "618-462-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROW",
        "first_name": "PERRIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2008022215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERRIS",
            "last_name": "MONROW",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.